The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"

CHEN Tianzhu; ZOU Yihuai; ZHANG Yong; REN Yi; CHEN Tianyan; WU Kang; CHEN Chen; SHI Xinyue; ZHANG Muzhao; XU Tianjiao; MA Renzhao; XU Mengfang

doi:10.3969/j.issn.1006-2157.2023.11.018

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The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"

Acupuncture Moxibustion and Tuina | 更新时间：2023-12-08

- The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 11, Pages: 1611-1615(2023)
- 作者机构：
  
  1.北京中医药大学东直门医院　北京　100700
  2.中国人民大学
- 作者简介：
  
  Prof. ZOU Yihuai, Ph.D., Chief Physician, Doctoral Supervisor. Dongzhimen Hospital, Beijing University of Chinese Medicine, No. 5, Haiyuncang Street, Dongcheng District, Beijing 100700. E-mail: zouyihuai2004@163.com
- 基金信息：
  
  National Natural Science Foundation of China(82174331;81873257)
- DOI：10.3969/j.issn.1006-2157.2023.11.018
  CLC： R246.1
- Received：03 April 2023，
  
  Published Online：12 September 2023，
  
  Published：30 November 2023
- 稿件说明：
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CHEN Tianzhu, ZOU Yihuai, ZHANG Yong, et al. The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(11): 1611-1615.
DOI：

CHEN Tianzhu, ZOU Yihuai, ZHANG Yong, et al. The efficacy mechanism of acupuncture and moxibustion in post-stroke hemiplegia based on "qi circle in round"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(11): 1611-1615. DOI： 10.3969/j.issn.1006-2157.2023.11.018.

摘要

“一气周流”学说以《黄帝内经》天人合一的阴阳气化理论和五脏气机升降理论为基础，在脏腑层面呈现中土为轴、四象为轮的动态气机周流模式，在经络层面呈现阳明为枢、阳气主导的气血周流模式，对人体气血和畅、阴平阳秘、形神相守具有重要意义。基于“一气周流”学说，中风后偏瘫是由于土湿痰盛、营卫不足，肝肺失运、气虚血瘀，心肾失交、脑络受损，引起“阴升阳降”与“左血右气”的周流逆乱，进而痹阻经脉与脑络，发为形神合病之证。在临床针灸辨治中，针对实质性的“形伤”与功能性的“神伤”，应当调理阳明气机以健全形质、调和阴阳以恢复神质、调整四轮以和畅气血，从而恢复气机周流、实现形神同调，为提高中风后偏瘫的针灸疗效提供新思路。

Abstract

Based on the qi transformation of yin and yang and ascending or descending among five zang organs in

Huangdi Neijing

the theory of "qi circle in round" is the dynamic circulation of qi movement taking the central earth as the axis surrounded by the four elements in the visceral aspect

while the qi-blood movement with Yangming pivoting and yangqi leading in the meridian aspect

highlighting the importance of the circulation of qi and blood

yin being calm and yang being sound

and the balance of body and spirit. According to the theory of "qi circle in round"

the pathogenesis of post-stroke hemiplegia is circulation disorder due to "yin-ascending and yang-descending" and "left-blood and right-qi" resulting in obstructed meridians and brain collateral

mainly due to the dampness of the spleen with phlegm leading to a lack of nutrient qi and defense qi

liver and lung failure to transport and transform

causing qi deficiency and blood stasis

and the non-interaction between the heart and the kidney accompanied with brain collateral damage. Considering its substantial "physical injury" and functional "mental injury"

the acupuncture and moxibustion therapy based on syndrome differentiation should focus on regulating Yangming qi movement to improve the shape

balancing yin and yang to recover spirit

and integrating the four elements to smooth qi and blood

so as to restore qi circulation and the unity of body and spirit. This paper provides new ideas for improving the efficacy of acupuncture and moxibustion for post-stroke hemiplegia.

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